Active NPI
Kirk Jay Sneiderman
- Physical Therapist
- Sheldon, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004675
- Practice address
- 118 N 7TH Ave
Sheldon, IA 51201-1235 - Phone
- (712) 324-6151
- Fax
- (712) 324-6170
- NPI assigned
- Feb 21, 2012
- Last updated
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004675 | IA | Primary |
Addresses
Primary practice location
118 N 7TH Ave
Sheldon, IA 51201-1235
Mailing address
118 N 7TH Ave
P.O. Box 250
Sheldon, IA 51201-1235
Phone (712) 324-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004675 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041
800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sanford Health Lake Park Clinic
- Multi-Specialty Clinic/Center
- Lake Park, IA
- NPI 1134787930
-
dba Sanford Clinic Hartley
- Family Medicine Physician
- Hartley, IA
- NPI 1821270679
-
dba Sanford Clinic Mountain Lake
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1881967925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N 7TH AVE",
"address_2": "P.O. BOX 250",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-6151",
"fax_number": "712-324-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N 7TH AVE",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-6151",
"fax_number": "712-324-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNEIDERMAN",
"first_name": "KIRK",
"middle_name": "JAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.